Player Order Form - Travel Uniform Package
Cheektowaga Soccer Club

Please fill out the sizes needed of each item. If you are ordering a complete uniform package (one of each item), the discounted package price is $38.00.

If you need specific numbering on the jersey please write the number on the jersey line of the form in the space provided. If you are a new player, please contact your coach to get a unique number for your team.

Please complete all of the fields on the order form and submit a copy of the form along with the payment to your team manager.

Youth Sizes: Small (YS), Medium (YM), Large (YL)

Adult Sizes: Small (AS), Medium (AM), Large (AL), Extra Large (XL)

Travel Uniform Information:  Size Price
Primary Jersey (Maroon/White/Black) - Number: [         ]   $19.00
Alternate Jersey (White/Black) - Number: [         ]   $19.00
Grand Total:   
If you are ordering a complete uniform package (one of each item), the discounted package price is $38.00. Please write the total due in the grand total box.
Player's Name: ______________________________________
Address: ______________________________________
______________________________________
______________________________________
Phone Number: ___________________________
Team Name: ___________________________________
Coach's or Manager's Name: ___________________________________

Please make your checks payable to: Cheektowaga Soccer Club

Payment: Cash __________ Check (No.            )____________ Money Order __________ Total: __________

Cheektowaga Soccer Club - P.O. Box 1865 - Cheektowaga, New York 14225